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This book draws together preclinical assessment and clinical recommendations for complex anorectal disorders to create an integrated book. This practical guide looks at complex pathophysiologic conditions; pediatric patients; new procedures after artificial sphincter implantation; basic and complex psychological assessment; new radiologic approaches to patients with complex problems; and the post-operative patient with functional disorders. It uniquely includes 3-D ultrasound, transperineal ultrasonography and dynamic MRI not found in other texts on anorectal disorders. A useful reference manual for healthcare professionals with an interest in fecal incontinence - colorectal trainees, colorectal nurse specialists, those involved in coloproctology imaging. The book will also assist the clinical physiologist and biofeedback technologist, highlighting standardized treatments and their follow-up. The specialties of proctology, gynecology and urology are brought together in one text.

From the reviews:

"It is indeed a tour de force ... . The editors ... have chosen to explore ... challenging aspects of anorectal dysfunction. ... It has been conceived and written as a specialist text ... and as such has been highly successful in achieving this goal. Clarity of text accompanied by pertinent illustrations and line drawings allow the clinician to read for interest or `dip in' for reference ... . I have little doubt that it will be a well-used addition to my bookshelf ... ." (Alastair C. J. Windsor, Diseases of the Colon & Rectum, Vol. 49 (10), 2006)

"This book comprises two sections, the first dedicated to anorectal testing and the second to clinical anorectal assessment. Sixty-seven authors have contributed to this comprehensive reference book on anorectal pathophysiology and the editors are to be congratulated on its publication. ... the editors have produced a most comprehensive guide to the identification and assessment of anorectal dysfunction." (Ann Branigan, British Journal of Surgery, Vol. 93 (4), 2006)

Anorectal Testing

Anorectal Anatomy

Anorectal Physiology

Anorectal Imaging

Sphincter Pharmacology and Pharmacotherapy

Anal and Perianal Pathology

Clinical Anorectal Assessment: Assessment of the Constipated Patient

Assessing the Patient with Fecal Incontinence

Urogynecological Assessment in the Anorectal Patient

Assessing the Postoperative Patient with Evacuatory Dysfunction

Postoperative Assessment of the Neosphincter

Managing Functional Problems in the Patient with a Neurological Disorder